Stakeholders have expressed concern over the public report of the high-level expert task force that medical reports are prepared without workers going to foreign employment being present. Additional Secretary of the Ministry of Health Dr. The task force led by Dipendra Raman Singh published a report on January 3, 2018, that due to the wrong practice of making fake medical reports by most of the listed health institutions, the destination countries started distrusting Nepal's medical reports.

They have emphasized that the Ministry of Labor should be serious about monitoring the actions of giving false medical reports and taking action according to the rules without taking sensitive issues like the health of the workers. Labor expert Ganesh Gurung, who is also the coordinator of the labor immigration policy drafting team, says that those who tamper with the health examination of workers should not be exempted.

'Medical examination should be made mandatory in Nepal so that the health of workers going to the destination country is not adversely affected. It is linked to the health of the workers and the employer company. Because there is no quality health examination here, the destination countries are doing it themselves," he said. "Those who provide false medical reports in Nepal should be monitored. The Ministry of Labor should effectively monitor and punish those health institutions. Dr. Gurung said. He emphasized that the government should implement the report of the working group led by Singh. "In Nepal, we are seeing a sad situation where the workers have to go back to the box because the health check is not effective. In order to reduce this, the government should discourage those who give false reports. The government should continuously monitor impartially, he said.

dr. According to Singh's report, health examination should be conducted based on the demand and needs of the destination country to ensure the medical report, and the medical report should be provided according to the uniformity of the medical report, all health institutions should be standardized according to international standards and the government should implement a one-door system to make it uniform for all countries, etc.

The Ministry of Labor is monitoring the listed health institutions from time to time. Last year, the Ministry of Labor suspended the business of 67 health institutions that did not meet the monitoring standards of health inspection institutions. After they met the standards, the action was released.

Chairman of the National Network for Safe Immigration, Chiranjeevi Baral, said that strict action should be taken against the health institutions that play with people's lives. More than a thousand Nepali workers are dying every year. The cause of this death was said to be the result of the working environment of the destination country and lack of effective health screening. This fact has been clearly revealed by the report of the expert task force," said Baral, "There should be an investigation and strict action against those who commit such crimes. This report shows that no one should be allowed to examine the health of workers. According to the records of the Foreign Employment Board, 14,666 workers died from 2008/9 to 2021/22 (14 years). Most of them died from heart attack 19, 19.5 from natural causes and 7 from workplace accidents, 12.7 from road accidents, 11 from suicide and the remaining 30.8 percent from other causes. The report also states that it is necessary to clearly disclose the cause of death in foreign employment. The cause of death is not clearly mentioned in the death certificate submitted to the Board for compensation. Most of the certificates contain words like 'Natural, Sudden Death, Heart Attack, Unnatural'.

Those who have passed the medical examination in the country and the workers who fail the test abroad are subjected to further economic exploitation. They have been deprived of compensation. Hitkumar Lama of Morang, Urlabari-8 Sunjhoda said that he lost 3 lakh rupees due to medical failure. I went to UAE after passing medical in Nepal. 3 lakh was invested. During the examination in the UAE, a black spot was found on the chest," he said. "Now the manpower company says that it is not in charge of the medical. He says that he will take responsibility only if there is a difference in salary and company. He said that he will return only 10,000 rupees when he goes to the health testing institute. I didn't get help from anywhere.'

report said that it is necessary to 'digitize' health institutions to ensure quality health examination by making health institutions, doctors and workers responsible and to end the wrong practice of giving reports on medical fitness 100%. According to the report of the working group, drawing attention to the fact that most of the health institutions do not meet the standards of the Nepal government, the government suggested that the health institutions listed by the Nepal government (those selected through the relevant country and those not) should be classified according to international standards to make it uniform for all countries. It is mentioned in the report that the government should take initiatives with Saudi Arabia, Qatar, Malaysia, Israel, Korea, Australia and European countries to create an environment where all health institutions that have met international health standards can work in a uniform manner.